| NPI | 1679210868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8861737) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-41267) |
| 1041C0700X Social Worker, Clinical (Licence: ID LMSW-41267) | |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2024-11-04 |